Treatment of Essential Tremor with Multi-Modal Nutritional Therapy in a Teenage Patient

Essential tremor (ET) the most common movement disorder, affecting 1% of the population across all ages and a significantly higher proportion of older adults [1]. However, ET also affects children, and, although often described as “benign”, the condition interferes with activities of daily living in over 90% of individuals [2]. Pharmacological therapy remains first-line ET treatment, with propranolol (a beta-blocker) and primidone (a barbiturate anti-convulsant) first-choice agents [3]. However, over 50% of patients do not respond to therapy and many experience sideeffects including sleepiness and cognitive defects, prompting nonadherence to medication in many cases [4].